Inflamed Pinguecula
Focal engorgement of conjunctival vessels and thickening of conjunctiva, nearly always at edge of cornea on nasal side Mild form of pterygium Caused by chronic exposure to ultraviolet light in predisposed individuals Usually resolves spontaneously, but faster with artificial tears or topical vasoconstrictors
Elevated patch of conjunctiva with engorged vessels leading to itMild eye pain or irritation
Episcleritis, scleritis, BUT... Episcleritis causes less focal conjunctival mounding and more engorgement of deeper vessels, which are not necessarily located near cornea in medial canthusScleritis causes more eye pain and engorgement of deeper vessels
Prescribe topical over-the-counter vasoconstrictors If they are not effective within 2 days, question diagnosis and refer non-urgently to ophthalmologist
Manifestations usually resolve spontaneously within days but may endure
